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Medical School Admissions and Residency Applicant Rankings: It’s Not Personal

When I was in my second year of medical school, a third-year student (who later also went into emergency medicine, as I did) came to speak to our class about being on the wards. He gave an animated talk about how important it was to recognize that when residents, attendings, or nurses hollered at us on our clinical rotations, 99% of the time, it wasn’t personal. He likened the situation to Boston traffic – how drivers lean on their horns for little cause because they are simply frustrated about their days. 

It’s not personal, he said.

I say the same to those I mentor. Candidates get an interview at one highly ranked institution but rejected at what is considered a lesser one with no clear cause. Faculty interviewers mix applicants up with one another. Some turn up wholly unprepared – reading students’ applications for the first time during the interview itself. Remember: It’s not personal. This process is arduous and long, and most candidates, faculty, and program coordinators are tired and doing their best. 

When things are rough, give others the benefit of the doubt. It will help you get through this stressful process with your sanity intact. 

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Expert Writing Tips

With AMCAS’ submission open date fast approaching (on May 27), I thought I might lower the boiling point a little by offering an amusing group of writing tips based on the wit of the late author William Safire and copywriter Frank LaPosta Visco. Enjoy!

A writer must not shift your point of view.
Always pick on the correct idiom.
Analogies in writing are like feathers on a snake.
Always be sure to finish what
Avoid alliteration. Always.
Avoid archaeic spellings.
Avoid clichés like the plague. (They’re old hat.)
Avoid trendy locutions that sound flaky.
Be more or less specific.
Comparisons are as bad as clichés.
Contractions aren’t necessary.
Do not use hyperbole; not one in a million can do it effectively.
Don’t indulge in sesquipedalian lexicological constructions.
Don’t never use no double negatives.
Don’t overuse exclamation marks!!
Don’t repeat yourself, or say again what you have said before.
Don’t use commas, that, are not, necessary.
Don’t be redundant; don’t use more words than necessary; it’s highly superfluous.
Eliminate quotations. As Ralph Waldo Emerson once said, “I hate quotations. Tell me what you know.”
Employ the vernacular.
Eschew ampersands & abbreviations, etc.
Eschew obfuscation.
Even if a mixed metaphor sings, it should be derailed.
Everyone should be careful to use a singular pronoun with singular nouns in their writing.
Exaggeration is a billion times worse than understatement.
Foreign words and phrases are not apropos.
Go around the barn at high noon to avoid colloquialisms.
Hopefully, you will use words correctly, irregardless of how others use them.
If any word is improper at the end of a sentence, a linking verb is.
If you reread your work, you can find on rereading a great deal of repetition can be avoided by rereading and editing.
It behooves you to avoid archaic expressions.
It is wrong to ever split an infinitive.
Never use a big word when a diminutive alternative would suffice.
No sentence fragments.
One should never generalize.
One-word sentences? Eliminate.
Parenthetical remarks (however relevant) are unnecessary.
Parenthetical words however must be enclosed in commas.
Place pronouns as close as possible, especially in long sentences, as of ten or more words, to their antecedents.
Placing a comma between subject and predicate, is not correct.
Proofread carefully to see if you any words out.
Prepositions are not words to end sentences with.
Profanity sucks.
Subject and verb always has to agree.
Take the bull by the hand and avoid mixing metaphors.
The adverb always follows the verb.
The passive voice is to be avoided.
Understatement is always best.
Use the apostrophe in it’s proper place and omit it when its not needed.
Use youre spell chekker to avoid mispeling and to catch typograhpical errers.
Who needs rhetorical questions?
Writing carefully, dangling participles must be avoided.

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New Year’s Resolution: Ten Ways for Pre-Meds to Improve their Medical School Applications

It’s the beginning of the year and, therefore, a great time for pre-meds to redouble their efforts toward their medical school goals. This year applications to medical school increased 18%, so the process has gotten even more competitive.

As always, I recommend a very focused approach that allows you to do more of what you want and less of what you don’t. Think research will help your candidacy but don’t like being in the lab? Consider public health or clinical investigations. Think volunteerism will bolster your application but don’t like being one of a crowd in a group project? Start your own social justice initiative.

There are definitely necessary elements to any robust medical school candidacy (clinical experience, strong grades), but being a pre-med can also be fun, mind-broadening, and career-affirming.

Here are ten ways to improve your medical school application that will give you direction but also leeway to be a happy applicant – not just a strong one.

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Brevity is the Soul of Wit

As William Shakespeare so wisely pointed out, being concise is critical for good writing.

I’ve been editing a lot of personal statements over the last few months, and I deliberately recommend a word count of 750 or fewer for my advisees for a couple of reasons:

First, I’ve found that that number is just the right balance of content and streamlining: Over 750 words for an admissions essay lends itself to meandering writing.

Second, your reader is likely reviewing tens or even scores of applications in a short period of time. S/he is looking to spend as little time as possible on your written materials, while still getting a good flavor for your candidacy. Don’t burden your reader with verbiage.

Having trouble being brief? Here’s a helpful trick: Imagine AMCAS, AACOMAS, or ERAS is charging you $10 per word. How would you keep costs down?

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Nothing Left to Say

medical school personal statement and medical school applicationI’ve gotten a few requests for help on the following secondary essay prompt:

Do you have anything else to say in addition to what has already been stated in other parts of your application?

Usually the point of this type of prompt is to offer the candidate a fair opportunity to discuss any weaknesses in her application. So, if you have a genuine shortfall in your candidacy (low MCAT score or GPA, for example), this would be the place to ensure the committee sees that your deficit does not represent your true intellectual ability. Of course, avoid excuses or blaming others.

If the question is elective and you do not feel that you have anything to explain, it is okay to skip the prompt. Answering with filler will not further your candidacy.

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About Dr. Michelle Finkel

Dr. Michelle Finkel

Dr. Finkel is a graduate of Stanford University and Harvard Medical School. On completing her residency at Harvard, she was asked to
stay on as faculty at Harvard Medical School and spent five years teaching at the world-renowned Massachusetts General Hospital.
She was appointed to the Assistant Residency Director position for the Harvard Affiliated
Emergency Medicine Residency where she reviewed countless applications, personal statements and resumes. Read more

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